Mclean, Ian Andrew

Mclean, Ian Andrew is an individual health care provider with primary practice located at 30900 Sw Parkway Ave , Wilsonville OR 97070. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Mclean, Ian Andrew can be contacted via phone (503) 682-2840.

Contact Information

Primary practice address
30900 Sw Parkway Ave Wilsonville OR 97070
Phone: (503) 682-2840
Fax: (503) 682-2869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 5040 Oregon
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 05040 Oregon

Profile Details

NPI number 1043292170
LBN Legal business name Mclean, Ian Andrew
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Jan 16th, 2014 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043292170 NPPES
Oregon MEDICAID 023259

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